体外冲击波联合内热针治疗腰背肌筋膜炎临床研究

Clinical Study on Extracorporeal Shock Wave Combined with Internal Heat Acupuncture for Lower Back Myofasciitis

目的:观察体外冲击波联合内热针治疗腰背肌筋膜炎的临床疗效。方法:选取腰背肌筋膜炎患者106例,采用随机数字表法分为对照组和联合组各53例。对照组给予内热针治疗,联合组在对照组基础上联合体外冲击波治疗,连续治疗4周。评价2组临床疗效,比较2组治疗前后Oswestry功能障碍指数(ODI)、血清P物质、肿瘤坏死因子-α(TNF-α)及视觉模拟评分法(VAS)评分。结果:联合组总有效率为98.11%,高于对照组86.79%,差异有统计学意义(P<0.05)。治疗后,2组ODI评分及VAS评分较治疗前降低(P<0.05),且联合组ODI评分及VAS评分低于对照组(P<0.05)。治疗后,2组血清P物质及TNF-α水平较治疗前降低(P<0.05),且联合组血清P物质及TNF-α水平低于对照组(P<0.05)。结论:体外冲击波联合内热针治疗腰背肌筋膜炎的疗效显著,能有效减轻患者的炎症,缓解疼痛症状,提高腰背肌功能。

Objective:To observe the clinical effect of extracorporeal shock wave combined with internal heat acupuncture for lower back myofasciitis.Methods:A total of 106 cases of patients with lower back myofasciitis were selected and divided into the control group and the combination group according to the random number table method,with 53 cases in each group.The control group was treated with internal heat acupuncture,and the combination group was treated with extracorporeal shock wave combined with internal heat acupuncture.Both groups were continuously treated for 4 consecutive weeks.Clinical effects were evaluated in the two groups.Oswestry Dysfunction Index(ODI),substance P and tumor necrosis factor-α(TNF-α)in serum,and the scores of Visual Analogue Scale(VAS)were compared before and after treatment between the two groups.Results:The total effective rate was 98.11%in the combination group,higher than that of 86.79%in the control group,the difference being significant(P<0.05).After treatment,the scores of ODI and VAS in the two groups were decreased when compared with those before treatment(P<0.05),and the scores of ODI and VAS in the combination group were lower than those in the control group(P<0.05).After treatment,the levels of substance P and TNF-αin serum were decreased when compared with those before treatment(P<0.05),and the two levels in the combination group were lower than those in the control group(P<0.05).Conclusion:Extracorporeal shock wave combined with internal heat acupuncture has a significant curative effect in the treatment of lower back myofasciitis,and can effectively relieve inflammation and pain symptoms of patients,and enhance the function of lower back muscle.